| NPI | 1578574984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL OS16869) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI GP014942) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS16869) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-08-20 |